Giacomo M. Guidelli (@docgmg) 's Twitter Profile
Giacomo M. Guidelli

@docgmg

MD, Rheumatologist, SIR & EMEUNET & SIRyoung member | @SIRyoung_IT | @reumahumanitas | Assistant of Rheumatology, Humanitas Research Hospital (Rozzano, Milan)

ID: 79258668

linkhttps://www.humanitas.it/medici/giacomo-maria-guidelli calendar_today02-10-2009 18:56:26

4,4K Tweet

718 Followers

831 Following

David Liew (@drdavidliew) 's Twitter Profile Photo

Seronegative RA: sometimes there's an assumption that they'll eventually get a 'real' diagnosis at Mayo Clinic, 85% of patients diagnosed with seronegative RA kept their diagnosis at 10 years. Usually, seroneg RA means seroneg RA! #ACR24 Elena MyasoedovaMD ☀️ ABST0458 Dr. John Cush

Seronegative RA: sometimes there's an assumption that they'll eventually get a 'real' diagnosis

at <a href="/MayoClinic/">Mayo Clinic</a>, 85% of patients diagnosed with seronegative RA kept their diagnosis at 10 years.

Usually, seroneg RA means seroneg RA!

#ACR24 <a href="/MyasoedovaElena/">Elena MyasoedovaMD ☀️</a> ABST0458 <a href="/RheumNow/">Dr. John Cush</a>
Janet Pope (@janetbirdope) 's Twitter Profile Photo

If high +ANA and NO #rheumatic #disease LOOK 👀 at #LIVER #Autoimmune #hepatitis And #alcoholic #liver #dx #ACRBest #ACR24 @rheumnow abst#0627

If high +ANA and NO #rheumatic #disease 

LOOK 👀 at #LIVER

#Autoimmune #hepatitis
And
#alcoholic #liver #dx 

#ACRBest #ACR24 @rheumnow abst#0627
Dr Ai Lyn Tan (@drailyntan) 's Twitter Profile Photo

Less than 1 in 10 referrals for +ANA were associated with #autoimmune diseases ▶️7% had autoimmune diseases ▶️7% had #rheumatology diseases ▶️86% had no rheumatologic diseases #ACR24 #ACR2024 abstract 0318 👉🏽acrabstracts.org/abstract/the-r… #antibodies #antibody

Less than 1 in 10 referrals for +ANA were associated with #autoimmune diseases

▶️7% had autoimmune diseases
▶️7% had #rheumatology diseases
▶️86% had no rheumatologic diseases

#ACR24 #ACR2024 abstract 0318
👉🏽acrabstracts.org/abstract/the-r…

#antibodies #antibody
Alberto Giraldo (@alb_giraldo) 's Twitter Profile Photo

Recommendations for pharmacologic treatment of rheumatoid arthritis-associated interstitial lung disease in the 2023 ACR/CHEST guideline #Rheumatology #RheumatoidArthritis #InterstitialLungDisease #DMARDs #Antifibrotics *From: Saavedra, A.A., Mueller, K.T., Kowalski, E.N. et

Recommendations for pharmacologic treatment of rheumatoid arthritis-associated interstitial lung disease in the 2023 ACR/CHEST guideline

#Rheumatology #RheumatoidArthritis #InterstitialLungDisease #DMARDs #Antifibrotics

*From: Saavedra, A.A., Mueller, K.T., Kowalski, E.N. et
Dott. Simone Parisi (@sim_orizon) 's Twitter Profile Photo

🚨 Mind-blowing insights from Georg Schett at #EULAR2025: CAR-T in autoimmune diseases is no longer experimental — it’s revolutionizing care. ✅ Immune reset → drug-free remission ✅ Efficacy in highly-resistant AID ✅ Allogenic & “armed” #CAR_T moving fast into clinics

🚨 Mind-blowing insights from Georg Schett at #EULAR2025:
CAR-T in autoimmune diseases is no longer experimental — it’s revolutionizing care.
✅ Immune reset → drug-free remission
✅ Efficacy in highly-resistant AID
✅ Allogenic &amp; “armed” #CAR_T moving fast into clinics
Janet Pope (@janetbirdope) 's Twitter Profile Photo

#neuromodulation in #rheumatoid #arthritis What is it? 👇 Autonomic & immune system interaction Who seeks this Rx? desperate pts w pain No Rx left Interested in technology #EULAR2025 Dr. John Cush EULAR #D2T #RA

#neuromodulation in #rheumatoid #arthritis 

What is it? 
👇
Autonomic &amp; immune system interaction 

Who seeks this Rx?
desperate pts w pain
No Rx left 
Interested in technology

#EULAR2025 <a href="/RheumNow/">Dr. John Cush</a> <a href="/eular_org/">EULAR</a> 
#D2T #RA
Antoni Chan MD (Prof) (@synovialjoints) 's Twitter Profile Photo

Prédiction of PsA from PsO. Stockholm cohort, n=672): •PsA incidence 21.1/1000 PY. •AUC 0.80 for both referral and prognostic models. •Predictors: HLA-B27, uveitis, enthesial pain, TJC, hsCRP, BMI, SAA, GlycA. •Early identification feasible. Abstract OP0178 Dr. John Cush

Prédiction of PsA from PsO. Stockholm cohort, n=672):
•PsA incidence 21.1/1000 PY.
•AUC 0.80 for both referral and prognostic models.
•Predictors: HLA-B27, uveitis, enthesial pain, TJC, hsCRP, BMI, SAA, GlycA.
•Early identification feasible.

Abstract OP0178 <a href="/RheumNow/">Dr. John Cush</a>
Md Yuzaiful Md Yusof (@yuz6yusof) 's Twitter Profile Photo

#EULAR2025 Abstr#OP0199 Validation of effective & safe HCQ blood levels monitoring (750-1150ng/mL) to guide optimal dose. Particulary important in those with CKD Stage =>3 as considered high risk of toxicity. Next steps: wider availability & cost-effectiveness analysis Dr. John Cush

#EULAR2025 Abstr#OP0199 Validation of effective &amp; safe HCQ blood levels monitoring (750-1150ng/mL) to guide optimal dose. Particulary important in those with CKD Stage =&gt;3 as considered high risk of toxicity. Next steps: wider availability &amp; cost-effectiveness analysis <a href="/RheumNow/">Dr. John Cush</a>
Nelly ZIADE 🍀 (@nellziade) 's Twitter Profile Photo

What's the difference between PIPsA & NIPsA? (Persistent Inflammatory confirmed by IMAGING vs. Non inflammatory PsA) 🔹️Cross-sectional study 🔹️517 pts under b/tsDMARDs 🔹️10.3% D2T 🔹️57% PIPsA / 43% NIPsA 👇 Distinct phenotypes 👇 OP0176 #EULAR2025 @rheumnow

What's the difference between PIPsA &amp; NIPsA?

(Persistent Inflammatory confirmed by IMAGING 
vs. Non inflammatory PsA)

🔹️Cross-sectional study
🔹️517 pts under b/tsDMARDs
🔹️10.3% D2T
🔹️57% PIPsA / 43% NIPsA

👇 Distinct phenotypes 👇

OP0176
#EULAR2025
@rheumnow
Rheuma Doc (@lastmanstand85) 's Twitter Profile Photo

Recommendations for #SLE with kidney involvement NEW #EULAR2025 for #LupusNephritis ✅early renal biopsy ✅early combination therapy ✅non-immune treatment

Recommendations for #SLE with kidney involvement 
NEW #EULAR2025 for #LupusNephritis 
✅early renal biopsy
✅early combination therapy 
✅non-immune treatment
Dr. John Cush (@rheumnow) 's Twitter Profile Photo

EULAR Classification criteria for hemachromatosis, presented by Prof. Kiely shows clinical pearls in diagnosis - Hook osteophytes Amir Mokhtarizadeh 2/3, & Iron Fist sign w/ elevation of MCPs 2&3. #EULAR2025

EULAR Classification criteria for hemachromatosis, presented by Prof. Kiely shows clinical pearls in diagnosis - Hook osteophytes <a href="/MCP/">Amir Mokhtarizadeh</a> 2/3, &amp; Iron Fist sign w/ elevation of MCPs 2&amp;3. #EULAR2025
Rheumatology & Rheumatology Advances in Practice (@rheumjnl) 's Twitter Profile Photo

New systematic review by Siniša Savić et al. characterises the complete phenotypic spectrum of VEXAS syndrome. ➡️These findings will facilitate earlier diagnosis, inform monitoring strategies, and guide future research priorities. ➡️bit.ly/40gp76A

New systematic review by <a href="/sinisauksav/">Siniša Savić</a> et al. characterises the complete phenotypic spectrum of VEXAS syndrome.

➡️These findings will facilitate earlier diagnosis, inform monitoring strategies, and guide future research priorities.

➡️bit.ly/40gp76A
Nelly ZIADE 🍀 (@nellziade) 's Twitter Profile Photo

Comparison of the Definitions of the Complex to Manage -by GRAPPA- and Difficult to Manage -by EULAR- #Psoriatic_Arthritis As presented at #EULAR2025 by Dr Fabian Proft OP0175 & Dr Helena Marzo-Ortega at the recommendations session Two Frameworks for One Challenge Dr. John Cush

Comparison of the Definitions of the Complex to Manage -by GRAPPA- and Difficult to Manage -by EULAR- #Psoriatic_Arthritis   
As presented at #EULAR2025 by Dr Fabian Proft OP0175 &amp; Dr Helena Marzo-Ortega at the recommendations session  
Two Frameworks for One Challenge

<a href="/RheumNow/">Dr. John Cush</a>
Nelly ZIADE 🍀 (@nellziade) 's Twitter Profile Photo

🧯How to treat Macrophage Activation Syndrome in 2025 🔴Take-home points from Dr Nigrovic's talk on Still's Disease 1- Methylprednisolone + Anakinra 2- + Ruxolitinib +/- Tacrolimnus / IVIG / Rituximab 3- Emapalumab 4- Etoposide + Dexamethasone #ACR25 #GlobalSummit

🧯How to treat Macrophage Activation Syndrome in 2025

🔴Take-home points from Dr Nigrovic's talk on Still's Disease
1- Methylprednisolone + Anakinra
2- + Ruxolitinib
+/- Tacrolimnus / IVIG / Rituximab
3- Emapalumab
4- Etoposide + Dexamethasone

#ACR25
#GlobalSummit
Roxana González (@roxosler) 's Twitter Profile Photo

#ReviewCourse #ACR25 vasculitides & CNS involvement 🔹 Takayasu,PAN & ANCA-associated: CNS dysfunction rare but life-threatening. 🔹 GCA/PMR:overlapping inflammatory spectrum. 🔹 Behçet’s: parenchymal vs. cerebral venous thrombosis forms. 💊 Therapy: cyclophosphamide or TNF/IL-6

#ReviewCourse #ACR25 vasculitides &amp; CNS involvement
🔹 Takayasu,PAN &amp; ANCA-associated: CNS dysfunction rare but life-threatening.
🔹 GCA/PMR:overlapping inflammatory spectrum.
🔹 Behçet’s: parenchymal vs. cerebral venous thrombosis forms.
💊 Therapy: cyclophosphamide or TNF/IL-6
Dr.Mukesh , MD , DM (@dr_immuno29) 's Twitter Profile Photo

🧩 #ACR25 Highlight | Skin in the Game: Cutaneous Clues in Rheumatic Disease By Dr. Katharina S. Shaw, Penn Medicine 🧵 Post 1 | Eosinophilic Fasciitis vs Systemic Sclerosis • 💡 Check distal digits → tightening absent in EF, universal in SSc • ✴️ Groove sign &

🧩 #ACR25 Highlight | Skin in the Game: Cutaneous Clues in Rheumatic Disease
By Dr. Katharina S. Shaw, Penn Medicine

🧵 Post 1 | Eosinophilic Fasciitis vs Systemic Sclerosis
• 💡 Check distal digits → tightening absent in EF, universal in SSc
• ✴️ Groove sign &amp;
Roxana González (@roxosler) 's Twitter Profile Photo

#ReviewCourse #ACR25 MAS treatment: 🔹Corticosteroids remain first-line 🔹 Anakinra (anti-IL1) improve survival in severe MAS 🔹 Emapalumab (anti-IFNγ) 93% remission in refractory cases; FDA-approved for steroid-refractory Still’s-MAS

#ReviewCourse #ACR25 MAS treatment: 
🔹Corticosteroids remain first-line
🔹 Anakinra (anti-IL1) improve survival in severe MAS
🔹 Emapalumab (anti-IFNγ) 93% remission in refractory cases; FDA-approved for steroid-refractory Still’s-MAS